Field Medical Director, Oncology

Lead the Transformation in Oncology Care
At Evolent, we’re redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the opportunity to collaborate with top-tier clinicians, influence care pathways, and drive innovation in one of the most critical areas of health care. If you're passionate about making a measurable difference in oncology, this is your platform to lead with purpose.
In this role, you will combine your clinical oncology expertise with a focus on value-based strategy and transformation. Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation.

Core Responsibilities

Clinical Review & Peer Collaboration
o Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care.
o Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to partner in driving practice patterns aligned with value and quality outcomes.
o Support clinical reviewers as a subject matter expert and resource.

Practice & Physician Engagement
o Actively participate in engagement sessions with oncology practices, sharing best clinical practices and supporting broader adoption of evidence-based pathways.
o Foster trusted peer relationships with oncologists to encourage sustainable behavior change that improves patient outcomes.
o Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality.

Internal Strategy & Value Initiatives
o Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology.
o Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care.
o Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement.
o Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations.

Compliance & Quality
o Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards.
o Document peer interactions and clinical decisions in a timely and accurate manner.
o Participate in training and inter-rater reliability processes.

Contact: Alyson Plummer, alyson.plummer@evolent.com, to apply.